Coding Quality Auditor – Revenue Capture

Providence

HCC Coding Quality Auditor responsible for detailed diagnostic chart reviews and coding accuracy at Providence Medical Group Northwest Washington. Ensuring compliant billing and accurate coding practices.

Posted 6/9/2026full-timeRemote • Washington • 🇺🇸 United StatesJuniorMid-Level💰 $37 - $58 per hourWebsite

About the role

Key responsibilities & impact

Conduct detailed diagnostic chart reviews of clinical documentation and coding associated with Risk Adjustment and HCC coding.
Review and abstract HCC codes to ensure they are coded accurately, to the highest specificity.
Query providers to clinically validate or clarify diagnosis criteria.
Review for compliant documentation resulting in compliant reporting/billing and RVU capture.

Requirements

What you’ll need

Within 1 year of hire: Certified Professional Coder (CPC) Or Certified Coding Specialist (CCS)
2 years of experience in medical insurance reimbursement, medical billing, and coding related to charge review and work RVU’s.
Experienced in reviewing patient account information, insurance explanation of benefits, computer screens, and financial records.
Preferred: Bachelor's Degree Or equivalent educ/experience
Within 1 year of hire: Certified Risk Adjustment Coder (CRC)
Within 1 year of hire: Certified Professional Medical Auditor (CPMA) Or Certified Healthcare Compliance Auditor (CHCA)
Experience in HCC coding.

Benefits

Comp & perks

Comprehensive benefits package including health care benefits (medical, dental, vision)
401(k) Savings Plan with employer matching
Life insurance
Disability insurance
Time off benefits (paid parental leave, vacations, holidays, health issues)
Voluntary benefits
Well-being resources

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

HCC codingmedical billingcoding accuracydiagnostic chart reviewscompliant documentationRVU capturecharge reviewpatient account informationinsurance explanation of benefitsfinancial records

Certifications

Certified Professional Coder (CPC)Certified Coding Specialist (CCS)Certified Risk Adjustment Coder (CRC)Certified Professional Medical Auditor (CPMA)Certified Healthcare Compliance Auditor (CHCA)